“Free-Floating Anus”: A Flap-Free Approach for Definitive Excision of Circumferential Giant Condyloma Acuminata

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  • Luo, William Y.
    • Affiliation: School of Medicine, Department of Surgery
  • Hoang, Van
    • Affiliation: School of Medicine, Department of Surgery
  • Varvoglis, Dimitrios N.
  • Comer, Lydia H.
    • Affiliation: School of Medicine, Department of Surgery
  • Guillem, José G.
    • Affiliation: School of Medicine, Department of Surgery
Abstract
  • Giant condyloma acuminata (GCA), or Buschke-Löwenstein tumor, is a rare exophytic cauliflower-like growth in the anogenital region. The spectrum of treatment options is wide, ranging from the application of topical ointments to the performance of an abdominoperineal resection. Currently, wide local excision is the most common approach and may entail the creation of a protective loop ileostomy or implementation of flaps or grafts that facilitate closure. We describe a unique surgical approach for the management of circumferential GCA void of the use a protective loop ileostomy, flaps, or grafts. Our report highlights that the implementation of a radical, circumferential, wide excision resulting in “free-floating anus” and healing via secondary intention can ultimately lead to excellent functional and cosmetic results and therefore may be considered a minimally invasive surgical option for patients afflicted with a large, circumferential GCA.
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Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Southeastern Surgical Congress
License
  • Attribution-NonCommercial 4.0 International
Journal title
  • The American Surgeon™
Journal volume
  • 89
Journal issue
  • 12
Page start
  • 6389
Page end
  • 6392
ISSN
  • 0003-1348
  • 1555-9823
Copyright date
  • 2023
Publisher
  • SAGE Publications

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